Long COVID and mental health correlates: a new chronic condition fits existing patterns.

IF 2.4 Q2 PSYCHOLOGY, CLINICAL

Health Psychology and Behavioral Medicine Pub Date : 2023-01-01 DOI:10.1080/21642850.2022.2164498

Michael L Goodman, Stephen Molldrem, Aleisha Elliott, David Robertson, Philip Keiser

{"title":"Long COVID and mental health correlates: a new chronic condition fits existing patterns.","authors":"Michael L Goodman, Stephen Molldrem, Aleisha Elliott, David Robertson, Philip Keiser","doi":"10.1080/21642850.2022.2164498","DOIUrl":null,"url":null,"abstract":"Background: Emerging Long COVID research indicates the condition has major population health consequence. Other chronic conditions have previously been associated with functional and mental health challenges - including depression, anxiety, post-traumatic stress disorder (PTSD), suicide ideation, substance use and lower life satisfaction.Methods: This study explores correlations between self-reported Long COVID, functional and mental health challenges among a random community-based sample of people (n = 655) aged 20-50 years who contracted COVID-19 prior to vaccination in a Texas county. A random sample of eligible participants was mailed a link to participate in a semi-structured questionnaire. Participant responses, including open-ended responses regarding their experience following COVID-19, were paired with health system data.Results: Long COVID was associated with increased presence of depression (13% increase), anxiety (28% increase), suicide ideation (10% increase), PTSD (20% increase), and decreased life satisfaction and daily functioning. Structural equation modeling, controlling for sociodemographic variables and imposing a theoretical framework from existing chronic disease research, demonstrated correlations between Long COVID and higher PTSD, suicide ideation and lower life satisfaction were mediated by higher daily functional challenges and common mental disorders.Conclusions: Basic and applied, interdisciplinary research is urgently needed to characterize the population-based response to the new challenge of Long COVID.","PeriodicalId":12891,"journal":{"name":"Health Psychology and Behavioral Medicine","volume":null,"pages":null},"PeriodicalIF":2.4000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833408/pdf/","citationCount":"7","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Psychology and Behavioral Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/21642850.2022.2164498","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 7

Abstract

Background: Emerging Long COVID research indicates the condition has major population health consequence. Other chronic conditions have previously been associated with functional and mental health challenges - including depression, anxiety, post-traumatic stress disorder (PTSD), suicide ideation, substance use and lower life satisfaction.

Methods: This study explores correlations between self-reported Long COVID, functional and mental health challenges among a random community-based sample of people (n = 655) aged 20-50 years who contracted COVID-19 prior to vaccination in a Texas county. A random sample of eligible participants was mailed a link to participate in a semi-structured questionnaire. Participant responses, including open-ended responses regarding their experience following COVID-19, were paired with health system data.

Results: Long COVID was associated with increased presence of depression (13% increase), anxiety (28% increase), suicide ideation (10% increase), PTSD (20% increase), and decreased life satisfaction and daily functioning. Structural equation modeling, controlling for sociodemographic variables and imposing a theoretical framework from existing chronic disease research, demonstrated correlations between Long COVID and higher PTSD, suicide ideation and lower life satisfaction were mediated by higher daily functional challenges and common mental disorders.

Conclusions: Basic and applied, interdisciplinary research is urgently needed to characterize the population-based response to the new challenge of Long COVID.

Abstract Image

查看原文本刊更多论文

长期COVID与心理健康相关:一种新的慢性病符合现有模式。

背景:新冠肺炎研究表明，新冠肺炎对人群健康有重大影响。其他慢性疾病以前与功能和精神健康挑战有关，包括抑郁、焦虑、创伤后应激障碍(PTSD)、自杀意念、物质使用和生活满意度降低。方法:本研究探讨了在德克萨斯州一个县接种疫苗前感染COVID-19的20-50岁随机社区样本(n = 655)中自我报告的长COVID，功能和心理健康挑战之间的相关性。随机抽取符合条件的参与者，通过邮件发送一个链接，让他们参与半结构化的问卷调查。参与者的回答，包括关于其COVID-19后经历的开放式回答，与卫生系统数据配对。结果:长COVID与抑郁(增加13%)、焦虑(增加28%)、自杀意念(增加10%)、创伤后应激障碍(增加20%)以及生活满意度和日常功能下降有关。结构方程模型控制了社会人口学变量，并从现有的慢性病研究中引入了理论框架，结果表明，高日常功能挑战和常见精神障碍介导了长COVID与高PTSD、自杀意念和低生活满意度之间的相关性。结论:迫切需要开展基础和应用的跨学科研究，以确定以人群为基础的应对新冠肺炎新挑战的特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Health Psychology and Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

3.50

自引率

3.70%

发文量

审稿时长

24 weeks

期刊介绍： Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.